NO PERMIT NUMBER 1
�oaa� s�Ro,Y.d.,., Lot No.
No.ZOj.+TV O% 1��RR DACOURT
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERT►NO
Sanitary No. USLOI,0
sia i
Fila No.
Da to 196� '
Application is hereby made for a permit to �+
`!�h".IA 0� a \ story. Type J
to be occupied only as clk-„ Q`,
in accordance with Plot An, Plans and Specification filed herewith,
��Estimated Value of Improvements $ +V'OU/
FEES QS Plan Check
$ —h•�a`T `--'� ` ^
Owner ��I1%4q 9Av\ M
Address 1 �.t ' • \�I�TAy 'Q, 1
Contr.itti-L rkE'%MnZ.&^ Address � �V
Phone 38 Wkl%d State License I -,,I
Approved KLI r • n^•
P _ ._..__
t2-rz- 69 I
APPLICATION FOR ELECTRICAL PERMIT
Date ( - _ 196 FEES �� (8.
Contr•� '^ - n Address %
Phone - �S d- --�� 1-� State License 6S9 o (J-I �1
Approved WILLIAM D. BENEVICH
APPLICATION FOR PLUMBING & GAS PERMIT
Date �� 196 GAS FEE E
3.00
PLUMBING FEE $ .$ .Qz�n
Contr. �,lp�,Q��t 9 \'dl �t`t��- Address Q {
Phone -� ryt�—O � 'State License '11(ciaq
Approved Y-rIt I iAPA n RENEVIC34
y/ APP ICATION FOR APPLIANCE PERMIT
Data 196 / F/�EE$ • S—D
Cont'. Ys%r-r� (lien d to ss 77%- �/"CC( L.t'T-,/-.�-c-•-. r 'T'I
Phone � ' `�"6 O S� State License O a p�a ��
Approved �-
Applicants agree not to violate any of the. (/ �L
Workman's Compensation Laws of the
hate of California
RECORD OF INSPECTION APPROVALS
BUILDING
DATE INSPECTOR MISC.
PAD FINAL
FOUNDATION
UNDERFLOOR
F 'H
H 8 PLASTER
GRADING FINAL
FINAL BLDG.
ELECTRICAL
DATE INSPECTOR MISC.
UNDERGROUND ROUGH-
ROUGH
OUGH ROUGH WIRING
FINISHED WIRING 10'
FIXTURES �) Q
MOTORS
FINAL
PLUMBING. GAS & APPLIANCE
DATE INSPECTOR MISC.
BACK FLOW REO.
SANITARY NO. rf
UNDERGROUND ROUGH-
PARTIAL
OUGH PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN /
FINAL PLBG.
FINAL GAS z
FINAL APPLIANCE Z
DATE INSPECTOR MISC.
MISC
MISC
MISC
'rOFFICE COPY
ELECTRIC 'SERVICE NOTICE "
BUILDINGINSPECTOR`S OFFICE I
Yom"" CITY OF CUPERT INO:
To
You are eby autJ,oyzd to � onnec'electrical service to
Owner or Tenant . . _ .. .
G--0.-. a.
At _—
No. of Wires .:...................... Size of Wires .......... .... Size of Switch Z' ..00r+.
Motor Load ............:::......:.... Voltage ......:.......................... Phase .............
Heating Load . .. K W. ................. Voltage,
.�J t Li ht lru..:✓/New 'Servicteconnect .
No. of Meters.... I, 8 /... ,
v ..
Power...,...:....r.� "....!.....:. ee Wir .. Move Meter......::_.
No.of Add. Meters.'......:
Hear. 2_0.....:. T
-i -
�� CLECTRICAL INSPECTOR
/—o-r Bldg. Dept.
Office Copy
CITY OF CUPERTIN'O
SEWER-PLUMBING NOTICE
5 6(
Sewer Connection Sanitary Permit No.. ..... �i ,
.........................
Plumbing Final Plumbing Permit No._V5'.1,29.J3.......
Lot No. .......I........................
Owner or Tenant,. -H..�....4O.M. ......hur,....................................I........
At ...... .......9.ft'hJ.&Y..... ..................................................
Tract ...... ........M A IVY .........................................................
DateConnected ..... 11.......................................... .............. 19............
I Date Final ----------)-.2.... ?..... ... . 19.............
..............
PLUMBING INSPECTOR '
L-0
GAS SERVICE NOTICE h OFFICE
BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO /
..l//0 .6 .._ .:.t.
.......�. .� ......1.......: 196......
To
You are hereby 'authorized oto -connect
the GAS ,service for
Owner or Tenant .....�J !.t..l.T .
.............'I.
X.... ..,,..
At .
2-0179' Cfl MAI2AA ,COJfLTi New Service . 1..........
No. of Meters ..... �ZlReconnect ............................
Move Service ..........1............
- Move Me ..................
No. of Add. Meters .....:........... - ......
.. . ...... ................. ................:..........
PLUMBING INSPECTOR
ROUTE SLIP asaa�,ddd�d
File No.
Dat:eL�- 7a
Location0 / .
Subject
Notes
Approved/ � /y
Date I is "e tor.
ROUTE SLIP
File No54'2/3
ry Date
Location,
r
Subject
Notes
Approved J^/5z
Date
' ec ori
cO
��. .
" A O
CLI
4 1a9�,ot
LOT NO. ` 4/
NO. FT
z `- o C N FOR BUILDING PERMIT( �/j
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¢ o ; ITY OF CUPERTINO S L
3 < (A — 1969 Sanitary No.
v,U Ihtte 1961 Permit No. .S //r5
To
if
t I
pl o R Q)rapermitto
' oa 1
i to a story,Type Building
to be occupied only as in accordance with
0 o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
r3 Estimated Value of Improvements,$ _ OQ 0 Fee$ �0
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction, location, and use of building., within the City of
j o Cupertino wi be complied with. /
3 ' Owner O 1�L., Address) Sq `MGR� \V,F1A�vE.
Q Q By
�L
Phone '1��— \ 4 APProvec t
< o qq
State Licenset7�t� r.F'6 '�' \Nc INSVP.CTOR
na�3 Icy,�n t ivy�
m Q NO. �E o LOT No.
wZ D
r ° PPLICAT FOR ELECTRICAL PERMIT
3� ' (AUG 25 1969 Tv OF CUPERTINO
= LL _, 19L1 Permit No. �a13
� o _
OW CI S 18 .10
a
Pee
z m Applir.+tion is hereby made to the City of Cupertino for a permit to install electrical
W w wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
0 o wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
S m City of Cupertino, and all< I?other aws applicable thereto.
z Use of Premises 0 a�
J z r
O
3 a Owner Address
W Ir
w gy Address
0q� �'^C/tONTRACTTOR, AGENT Approved
_.
a U hone: 0 O �/l 7 f pp EC ICAL INSPBC�Ol
tate Licensee 6/ -5'—1 [N///
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10223 Randy Lane '
No. Street Lot No. 1
APPLICATION FOR APPLIANCE PERMIT
,City of Cupertino
1
�F E
Date 8�" Perm
it No.
J
Fee$ 20.50
3 Application;is-hereby,made to the City of Cupertino for a permit to install gas appliances as
listed on the reverse'side fiereof„and agrees to install said appliances in accordance with the
`o m provisions of the Plumbing'Code'of the City of Cupertino, and all other laws applicable
0 thereto.
ti
r- Use of Premises Re&
0 0
OwnerTnc-
Addressp- 0_ R nr 11105
o
c ^
3 o By San !'n»lnia Rhee+ Me+.,i Address 779 Old Gnnnto Rd_
Contractor,Agent
E Phone 591-2605
0
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I State License 110828 Approved
`4` LPlum mg Inspector
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